Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | G078797 | CA |
NPI | 1245215557 |
---|---|
Provider Name | Dr. James Paul Marcin |
First Address | Sacramento, CA 95818-3512 |
Second Address | Sacramento, CA 95818-3512 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2005 |
Last Update Date | 08/07/2007 |